Evidence map›Paper›PMID 32294156›Full record

ArticleBlood2020

Treg sensitivity to FasL and relative IL-2 deprivation drive idiopathic aplastic anemia immune dysfunction.

Shok Ping Lim, Benedetta Costantini, Syed A Mian, Pilar Perez Abellan, Shreyans Gandhi, Marc Martinez Llordella, Juan Jose Lozano, Rita Antunes Dos Reis, Giovanni A M Povoleri, Thanos P Mourikis and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 26 citations in OpenAlex.

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  11. Review
  12. Depletion of Tregs from CD4The FEBS journal · 2025
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  16. The role of TIM3Journal of translational internal medicine · 2024
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  17. Article
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  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 4 countries.

Shok Ping LimDepartment of Haematology, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Benedetta CostantiniDepartment of Haematology, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Syed A MianDepartment of Haematology, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Pilar Perez AbellanDepartment of Haematology, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Shreyans GandhiHaematological Medicine, King's College Hospital, London, United Kingdom.
Marc Martinez LlordellaCentre for Inflammation Biology and Cancer Immunology, King's College London, London, United Kingdom.
Juan Jose LozanoCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd) Bioinformatics Platform, Madrid, Spain.
Rita Antunes Dos ReisSystems Cancer Immunology Laboratory, CRUK-KHP Cancer Centre, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Giovanni A M PovoleriCentre for Inflammation Biology and Cancer Immunology, King's College London, London, United Kingdom.
Thanos P MourikisCancer Systems Biology Laboratory, The Francis Crick Institute, London, United Kingdom.
Ander AbarrategiHaematopoietic Stem Cell Laboratory, The Francis Crick Institute, London, United Kingdom.
Linda Ariza-McNaughtonHaematopoietic Stem Cell Laboratory, The Francis Crick Institute, London, United Kingdom.
Susanne HeckNational Institute for Health Research Biomedical Research Centre, BRC Flow Core, Guy's and St Thomas Hospital, London, United Kingdom.
Jonathan M IrishDepartment of Cancer Biology, Vanderbilt University, Nashville, TN.
Giovanna LombardiMRC Centre for Transplantation, Peter Gorer Department of Immunobiology, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom; and.
Judith C W MarshDepartment of Haematology, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Dominique BonnetHaematopoietic Stem Cell Laboratory, The Francis Crick Institute, London, United Kingdom.
Shahram KordastiSystems Cancer Immunology Laboratory, CRUK-KHP Cancer Centre, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
Ghulam J MuftiDepartment of Haematology, School of Cancer and Pharmaceutical Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.
King's College London · GBThe Francis Crick Institute · GBCentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESGuy's Hospital · GBKing's College Hospital · GBSt Thomas' Hospital · GBVanderbilt University · US

Funding

Single Cell Methods for Bioeffector Discovery and AnalysisR01CA226833 · NCI · VANDERBILT UNIVERSITY · PI BRIAN O BACHMANN, Jonathan Michael Irish · 2019 to 2026
$6.1M
Cancer Research UK A29283NCI NIH HHS R01 CA226833
6 · The paper itself

Abstract

Idiopathic aplastic anemia (AA) has 2 key characteristics: an autoimmune response against hematopoietic stem/progenitor cells and regulatory T-cells (Tregs) deficiency. We have previously demonstrated reduction in a specific subpopulation of Treg in AA, which predicts response to immunosuppression. The aims of the present study were to define mechanisms of Treg subpopulation imbalance and identify potential for therapeutic intervention. We have identified 2 mechanisms that lead to skewed Treg composition in AA: first, FasL-mediated apoptosis on ligand interaction; and, second, relative interleukin-2 (IL-2) deprivation. We have shown that IL-2 augmentation can overcome these mechanisms. Interestingly, when high concentrations of IL-2 were used for in vitro Treg expansion cultures, AA Tregs were able to expand. The expanded populations expressed a high level of p-BCL-2, which makes them resistant to apoptosis. Using a xenograft mouse model, the function and stability of expanded AA Tregs were tested. We have shown that these Tregs were able to suppress the macroscopic clinical features and tissue manifestations of T-cell-mediated graft-versus-host disease. These Tregs maintained their suppressive properties as well as their phenotype in a highly inflammatory environment. Our findings provide an insight into the mechanisms of Treg reduction in AA. We have identified novel targets with potential for therapeutic interventions. Supplementation of ex vivo expansion cultures of Tregs with high concentrations of IL-2 or delivery of IL-2 directly to patients could improve clinical outcomes in addition to standard immunosuppressive therapy.

Indexed as

Anemia, AplasticAnimalsApoptosisCells, CulturedFas Ligand ProteinFemaleHumansImmune System DiseasesImmune ToleranceInterleukin-2MaleMiceMice, Inbred NODMice, SCIDMice, TransgenicT-Lymphocytes, RegulatoryFas Ligand ProteinInterleukin-2

Identifiers

PMID32294156
PMCPMC7532000
OpenAlexW3015843261

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.